Laura Ramirez
Physician Assistant · Dallas, TXNPI 1508469149
Payments from drug & device makers
Across 140 payments — averaging $21.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$720
- AbbVie$678
- Novo Nordisk$463
- Amgen$236
- Boehringer Ingelheim$168
- Pfizer$134
- plus $587 from 12 others
What the payments were for
- Food & beverage$2,985100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AstraZeneca | 24 | $720 |
| AbbVie | 32 | $678 |
| Novo Nordisk | 21 | $463 |
| Amgen | 14 | $236 |
| Boehringer Ingelheim | 9 | $168 |
| Pfizer | 6 | $134 |
| GSK | 7 | $121 |
| Lilly USA, LLC | 8 | $119 |
| Exact Sciences | 4 | $85 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $71 |
| Merck | 3 | $59 |
| Adlon Therapeutics L.p. | 1 | $25 |
| Verona Pharma, Inc. | 1 | $23 |
| Cranial Technologies, Inc | 1 | $22 |
| Sanofi-aventis U.S. LLC | 1 | $19 |
| Kowa Pharmaceuticals America, Inc. | 1 | $16 |
| Novartis | 1 | $14 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$2,985 in reported general payments places this provider in the 80th percentile of 8,308 physician assistant providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 51 | $90,530 |
| MounjaroTirzepatide | 55 | $76,708 |
| JardianceEmpagliflozin | 44 | $51,079 |
| FarxigaDapagliflozin Propanediol | 42 | $49,057 |
| LinzessLinaclotide | 34 | $42,796 |
| ProliaDenosumab | 12 | $21,191 |
| TrulicityDulaglutide | 16 | $17,651 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 18 | $10,902 |
| VascepaIcosapent Ethyl | 14 | $8,819 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 18 | $7,905 |
| Incruse ElliptaUmeclidinium Bromide | 18 | $5,855 |
| Clonidine | 14 | $2,476 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 81 | $2,433 |
| Omega-3 Acid Ethyl Esters | 15 | $2,401 |
| Tacrolimus | 13 | $2,348 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $119 | $94,35971 claims |
| Novo NordiskOzempic | $463 | $90,53051 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $720 | $59,95860 claims |
| Boehringer IngelheimJardiance | $168 | $51,07944 claims |
| AbbVieLinzess | $678 | $42,79634 claims |
| AmgenProlia | $236 | $21,19112 claims |
| GSKIncruse Ellipta | $121 | $5,85518 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 80th percentile of 8,308 physician assistant providers in Texas.
Other physician assistant in Dallas
- Cynthia TrickettDallas$1.3M
- Michael WhiteDallas$276K
- Sofia NeicherilDallas$62K
- Shawn SommerladDallas$53K
- Katherine TurnerDallas$43K
- Tori BurnsDallas$39K
- Suzanne RaczDallas$32K
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.